Native Americans and Alaska Natives have significantly higher rates of drug abuse and drug addiction than other ethnicities, an a situation which has to be addressed for these people to survive. While the reasons may vary from person to individual, most of the factors for the high rates of drug abuse among Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most apparent obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. Due to this it is crucial that Native Americans and Alaska Natives in Chuathbaluk, AK. receive substance abuse treatment in a drug rehab program that is culturally acceptable, but more importantly in a drug rehab that understand the need to offer drug and alcohol rehabilitation in their language.